Evidence-based practice in perioperative nursing: Barriers and facilitators to compliance

Evidence-based practice (EBP), in combination with clinical expertise and patient values and wishes, enables delivery of exceptional patient-centred care. Providing our perioperative patients care that is informed by best evidence has been proven to provide a safer and higher standard of care. B...

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Main Authors: Benita Ramage, Paula Foran
Format: Article
Language:English
Published: Australian College of Perioperative Nurses 2023-07-01
Series:Journal of Perioperative Nursing
Subjects:
Online Access:https://journal.acorn.org.au/index.php/jpn/article/view/125
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author Benita Ramage
Paula Foran
author_facet Benita Ramage
Paula Foran
author_sort Benita Ramage
collection DOAJ
description Evidence-based practice (EBP), in combination with clinical expertise and patient values and wishes, enables delivery of exceptional patient-centred care. Providing our perioperative patients care that is informed by best evidence has been proven to provide a safer and higher standard of care. Best evidence forms the basis for standards and guidelines for nursing practice published by organisations such as Australian College of Perioperative Nurses (ACORN), Australian and New Zealand College of Anaesthetists (ANZCA) and Australian Commission on Safety and Quality in Health Care (ACSQHC). While perioperative nurses strive to provide the best possible care for their patients there is sometimes a ‘mismatch’ in the clinical environment when nurses revert to the use of tradition-based practices rather than providing care that has been based on best evidence that would be safer for their patients. The reasons for this are complex and involve, in part, a lack understanding of research and evidence, and a lack of time. As higher education and a deeper understanding of and appreciation for research and evidence has been shown to enhance the uptake of evidence-based perioperative practice, good nursing leadership, encouragement and resources are needed to spearhead education in this vital area. This discussion paper will present some of the barriers and facilitators to the provision of evidence-based care in the clinical environment. However, while researching this topic revealed a significant quantity of low-level research that provided similar findings, there was a paucity of rigorous high-level research. This indicates the need for further research in this vital area.
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spelling doaj-art-6f0655bba8ec44098d3636e985cba6a52025-08-20T03:13:44ZengAustralian College of Perioperative NursesJournal of Perioperative Nursing2209-10842209-10922023-07-0136210.26550/2209-1092.1265Evidence-based practice in perioperative nursing: Barriers and facilitators to complianceBenita RamagePaula Foran Evidence-based practice (EBP), in combination with clinical expertise and patient values and wishes, enables delivery of exceptional patient-centred care. Providing our perioperative patients care that is informed by best evidence has been proven to provide a safer and higher standard of care. Best evidence forms the basis for standards and guidelines for nursing practice published by organisations such as Australian College of Perioperative Nurses (ACORN), Australian and New Zealand College of Anaesthetists (ANZCA) and Australian Commission on Safety and Quality in Health Care (ACSQHC). While perioperative nurses strive to provide the best possible care for their patients there is sometimes a ‘mismatch’ in the clinical environment when nurses revert to the use of tradition-based practices rather than providing care that has been based on best evidence that would be safer for their patients. The reasons for this are complex and involve, in part, a lack understanding of research and evidence, and a lack of time. As higher education and a deeper understanding of and appreciation for research and evidence has been shown to enhance the uptake of evidence-based perioperative practice, good nursing leadership, encouragement and resources are needed to spearhead education in this vital area. This discussion paper will present some of the barriers and facilitators to the provision of evidence-based care in the clinical environment. However, while researching this topic revealed a significant quantity of low-level research that provided similar findings, there was a paucity of rigorous high-level research. This indicates the need for further research in this vital area. https://journal.acorn.org.au/index.php/jpn/article/view/125perioperativenursesevidence-based practicebarriersfacilitatorsimplementation
spellingShingle Benita Ramage
Paula Foran
Evidence-based practice in perioperative nursing: Barriers and facilitators to compliance
Journal of Perioperative Nursing
perioperative
nurses
evidence-based practice
barriers
facilitators
implementation
title Evidence-based practice in perioperative nursing: Barriers and facilitators to compliance
title_full Evidence-based practice in perioperative nursing: Barriers and facilitators to compliance
title_fullStr Evidence-based practice in perioperative nursing: Barriers and facilitators to compliance
title_full_unstemmed Evidence-based practice in perioperative nursing: Barriers and facilitators to compliance
title_short Evidence-based practice in perioperative nursing: Barriers and facilitators to compliance
title_sort evidence based practice in perioperative nursing barriers and facilitators to compliance
topic perioperative
nurses
evidence-based practice
barriers
facilitators
implementation
url https://journal.acorn.org.au/index.php/jpn/article/view/125
work_keys_str_mv AT benitaramage evidencebasedpracticeinperioperativenursingbarriersandfacilitatorstocompliance
AT paulaforan evidencebasedpracticeinperioperativenursingbarriersandfacilitatorstocompliance